Digital Request Form "*" indicates required fields Step 1 of 14 7% Request ID OptionalThis form is for you to submit a request for work from the Digital Team. Please note that this is not for support requests which should be emailed to support@leadershipacademy.nhs.uk. The type of request to submit here would be for a new website, application, virtual campus, etc. - or for a change to an existing one of these. Click Next to start the form... Your InformationThe questions in this section are designed to let us know who the request is for.Your name* First Last Your Email address* Your phone number Optional Your Information (continued)Your job title*Your department / team* Your RequestThe questions in this section are designed to help us to understand what it is you would like from us.Existing Product*Is this for an existing digital product? Yes No Don't know Category/Type of request:*Please Select...Virtual CampusWebsiteApplication SiteContentTechnical HelpCustom DevelopmentResearch/adviceOtherWhat is the category for this work?*Product*Which digital product is your request for?Domain OptionalWhat is its website address? For accuracy please copy and paste from your browser. DPAG and DPIAAll public facing content and digital platforms will need to be approved by the Digital Projects Assurance Group (DPAG). For more guidance on what this means, please visit DPAG page on the hub: NHS England DPAG Please bear in mind that where DPAG review is required, this will impact on your desired launch. If you need to obtain approval, please contact DPAG team for further assistance at: nhsi.techdatapmo@nhs.netHas DPAG Approval been obtained?* Yes No Not Applicable Review Evidence: OptionalPlease provide evidence that this request has been reviewed by DPAG team. If your request includes the collection of personal identifiable data, consideration must be given as to the purpose of this exercise with the completion of a Data Protection Impact Assessment (DPIA) form. Please bear in mind that where DPIA form is required to be completed, this will impact on your desired launch. If you need to obtain approval, please contact DPIA team for further assistance at: England.ig-corporate@nhs.netHas DPIA Approval been obtained?* Yes No Not Applicable What is your DPIA approval reference number?*DPAG and DPIA Approval Supporting Documents OptionalAttach any further supporting evidence you’d like to provide for DPAG and DPIA approval here. Please note that only jpeg, jpg, gif, png, pdf, docx, xlsx and pptx files are allowed. Drop files here or Select files Accepted file types: jpeg, jpg, gif, png, pdf, docx, xlsx, pptx, Max. file size: 98 MB. Your Request (continued)Request Title*What short name would you give this request so we can clearly refer to it in upcoming discussions?Request Description*Please describe what you require from the Digital Team. Your Request (continued)Does your request require content work?*NoYesWhat is the title of your content?*What are the key messages associated with this request?*How would you describe successful outcomes for this request (objective measurables)?* Your Request (continued)Supporting Documents OptionalPlease upload any relevant documents, such as screenshots, spreadsheets, example reports, etc. to support and clarify your request. Please note that only jpeg, jpg, gif, png, pdf, docx, xlsx and pptx files are allowed. Drop files here or Select files Accepted file types: jpeg, jpg, gif, png, pdf, docx, xlsx, pptx, Max. file size: 98 MB, Max. files: 10. Business CaseThe questions in this section are designed to help us understand why you need this work done.Justification*What main justification is there for the Digital Team to work on this request? Please provide evidence to support your case, ie expected cost savings, efficiency gains, improved well-being, etc. Business Case (continued)Objectives*Which People Plan objective(s), if any, does this request support? Making the NHS the best place to work Improving the leadership culture Releasing time for care Transforming skill mix Growing future supply Analysis, insight and affordability Urgent actions on nursing supply A new operating model for workforce None of the above Business Case (continued)Success Description*How would you describe a successful outcome for this request? What specific, objectively measurable things would you expect to be different from now? TimingThis section is designed to help us understand when the work needs to be done.Hard Deadline?*Do you have a specific hard deadline for this work? Yes No Soft Deadline?*Do you have a date when you would ideally prefer the work to be completed? Yes No When does this work need to be completed by?* DD slash MM slash YYYY What is the reason for your deadline?*Please state the business reason for your deadline, e.g. legal change, programme launch, etc. Further Information OptionalIs there any there any other information you can provide that may help the Digital Team understand what is required? Please provide as much as you can as this will enable us to more efficiently understand and prioritise your request. SummaryPlease review the information you have provided and, if it is correct, submit the form.{all_fields}